SADI-S Surgery • Bariatric Surgery Turkey

WHAT IS
SADI-S?

In 2003, Dr. It was presented to the literature by Sanchez. First, sleeve gastrectomy is performed on the patient and the gastric outlet is closed, and a new path is created between the formed tube stomach and the last 300 cm of the small intestine. It can also be described as gastric bypass with sleeve gastrectomy.

https://www.istanbulbariatricclinic.com/wp-content/uploads/2024/01/Ekran-Resmi-2024-01-28-18.19.55.png

WHY DID THE DIETS I MAKE TO GET OUT OF OBESITY NOT WORKING?
Op. Dr. Ersun Topal

Adult gastric volume is 600-900cc and takes 2-3 portions of food. When the stomach is full, a “feeling of fullness” occurs. It is essential to “restrict food/calorie intake” in all diets, but when the stomach is not full, dieters do not feel “full” and quit the diet.
For the feeling of satiety, it is either “full filling” of the stomach or reduction of the stomach volume (sleeve gastrectomy).
Morbidly obese (BMI>40) individuals are less likely to decrease to the “ideal BMI” value with only diet and exercise <2%
The average success rate of SADI-S surgery in bariatric surgery is 95%, and its success in achieving remission in Type 2 Diabetes is between 95-98%.

WHICH PATIENTS IS THE SADI-S PROCEDURE APPLIED?
Op. Dr. Ersun Topal

BMI>50 morbidly obese patients
Patients with BMI>40 and Type 2 Diabetes
Patients with BMI>40 and Hypertension and increased risk of cardiovascular disease
Patients with BMI>40 and Dyslipidemia
Patients with BMI>40 and Sleep Apnea
Patients with BMI>40 and Metabolic Syndrome
In patients who “gain weight back” after Sleeve Gastrectomy surgery
In patients with “Type 2 Diabetes Relapse” after sleeve gastrectomy
Metabolic diseases requiring revisional surgery after sleeve gastrectomy

WHICH SURGEON SHOULD I CHOOSE FOR MY SADI-S SURGERY?
Op. Dr. Ersun Topal

Obesity The most important criterion in Bariatric and Metabolic surgery is the choice of surgeon. Surgeons who have performed a total of 400 or more bariatric surgical procedures according to IFSO criteria are considered “expert surgeons”. Your surgery will be performed by Expert Bariatric Surgery Specialist, Ersun Topal, MD, General Surgeon. He has 9 years of bariatric surgery experience and >1500 cases (sleeve gastrectomy, rny gastric bypass, omega/mini gastric bypass, sadi-s, duodenal switch-biliopancreatic). diversion, revisionally surgery) has extensive experience and is a member of IFSO and Turkish Obesity Surgery Society

WHAT SHOULD I DO BEFORE SADI-S SURGERY?
Op. Dr. Ersun Topal

You should start “healthy eating” from the moment you decide to have the surgery, you should quit alcohol for your liver health, For your lung health, you should quit smoking. You must stop all painkillers (ibuprofene, diclophenac, Naproxen and etc non-steroidal anti-inflammatory drugs) except Paracetamole. You should start to drink 1 of the over-the-counter Proton (Pantaprasole, Esomeprazole, Lansaprasole ext.) every morning on an empty stomach.

IS CHECK-UP REQUIRED BEFORE SADI-S PROCEDURE?
Op. Dr. Ersun Topal

Before obesity surgery, blood tests, chest X-ray, Electro-cardiography, upper gi endoscopy (with and under sedation anesthesia) will be performed. If you have heart disease or diabetes, you will be consulted.

WILL I HAVE PAIN AFTER SADI-S SURGERY?
Op. Dr. Ersun Topal

Before your surgery begins, pre-medication will be administered to control analgesia. Also “A patient controlled analgesia (PCA) system allows you to give yourself a dose of intravenous pain medicine, with the push of a button. This system decreases any pain and anxiety you may feel while waiting for medicine.

Frequently Asked Questions
Questions

Sleeve Gastrectomy Bursa Diabetes And Obesity Surgery Clinic

IS STAPLES QUALITY IMPORTANT IN SADI-S SURGERY?

In bariatric and metabolic surgery, the quality of the stapler to be used determines the quality of the surgery. Only Medical Device Company Tri-Staple Tech original American product is used in our clinic. We definitely do not use the cheaper Chinese made staplers.

HOW WILL I FEED AFTER SADI-S?

After your surgery, you will start feeding with foods prepared by your Bariatric Surgery Dietitian in accordance with the “AACE/TOS/ASMBS Guidelines Clinical Practice Guidelines for the Perioperative Nutritional, Metabolic, and Nonsurgical Support of the Bariatric Surgery Patient”.

WILL I PAY FEE FOR FOLLOWING BARIATRIC DIETICIAN AFTER SADI-S?

Our Bariatric Surgery Dietitian, who is part of our clinical team, will follow you online free of charge for the first year

WHEN SHOULD I START SPORTS AFTER SADI-S SURGERY?

After bariatric and metabolic surgery, there is no obstacle to activities such as walking, jogging, cardio, yoga in the first week, swimming running spinning from the 2nd week, pilates, step, aerobic, zumba, weight lifting from the 3rd week.

WHEN CAN I GET PREGNANT AFTER SADI-S SURGERY?

Do not neglect to do sports to prevent skin sagging after obesity surgery.

WHEN CAN I RETURN TO WORK AFTER SADI-S SURGERY?

You can return to work within 7-14 days after Gastric Bypass.

WHEN CAN I HAVE POST-BARIATRIC AESTHETIC SURGERY AFTER SADI-S SURGERY?

Post-bariatric aesthetics after bariatric surgery can completely change depending on the demands of the patients. It may be needed in some patients. 18 months after your surgery is the ideal time for post-bariatric aesthetic procedures.